Provider Demographics
NPI:1821362229
Name:HEARING PROFESSIONALS OF AMERICA LLC
Entity Type:Organization
Organization Name:HEARING PROFESSIONALS OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BIRAN
Authorized Official - Last Name:CONREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-612-1267
Mailing Address - Street 1:3108 S ROUTE 59
Mailing Address - Street 2:SUITE 124-295
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8021
Mailing Address - Country:US
Mailing Address - Phone:888-612-1267
Mailing Address - Fax:815-676-3997
Practice Address - Street 1:11301 COMMERCE DR
Practice Address - Street 2:SUITE A
Practice Address - City:ALLENDALE
Practice Address - State:MI
Practice Address - Zip Code:49401-8200
Practice Address - Country:US
Practice Address - Phone:888-612-1267
Practice Address - Fax:815-676-3997
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING PROFESSIONALS OF AMERICA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment